ATI Medical Surgical Proctored Exam 2026 | Next Gen
NCLEX (NGN) Screenshots, Case Studies & Detailed
Rationales (Pass Guaranteed)
Pass your **ATI Adult Medical-Surgical Proctored Exam** on the first attempt with
this comprehensive **2026 Master Practice Bank Bundle**! Engineered specifically
for nursing students preparing for the ATI RN Content Mastery Series and Next-
Generation NCLEX (NGN), this document contains ** authentic practice questions,
detailed answer keys, and professor-verified rationales**.
---
### What Is Included in This Bundle?
* **Complete Form Sets (Forms A, B, and C):** Full-length practice exams covering all
core Adult Health concepts.
* **Next-Gen NCLEX (NGN) Formatting:** Matrix grid questions, trend items, drag-
and-drop, extended multiple response, and unfolding clinical judgment case studies.
* **Step-by-Step Rationales:** Detailed explanations for both correct and incorrect
answers to reinforce pathophysiology, pharmacology, and clinical judgment
principles.
,* **Verified Answer Key:** Reviewed and updated for the **2026 academic year** to
guarantee accuracy and alignment with the latest ATI testing blueprints.
---
### Key Topics & Systems Covered:
* **Cardiovascular & Hematology:** Dysrhythmias, MI, Heart Failure, Blood
Transfusion Reactions, Anticoagulant Therapy, ABG Interpretation (Compensated vs.
Uncompensated).
* **Respiratory:** Mechanical Ventilation, Tracheostomy Care, ABGs, Pneumothorax,
Thoracentesis Positioning, PE.
* **Gastrointestinal & Renal:** TURP/CBI, Endoscopy (EGD) Protocols, Peritoneal
Dialysis, Bowel Obstruction, Liver Disease/Ammonia Monitoring.
* **Neurological & Musculoskeletal:** Glasgow Coma Scale (GCS), Lumbar Puncture
Care, Traction/Skeletal Care, Compartment Syndrome, Cranial Nerves.
* **Endocrine & Immune/Oncology:** Hypocalcemia/Hyperkalemia, Neutropenic
Precautions, Chemotherapy Side Effects, Diabetes Management.
* **Perioperative Nursing & Infection Control:** Sterile Field Technique, Post-op
Complications, Surgical Drains (JP/Hemovac).
,---
### Why Choose This Study Guide?
* **Instant PDF Download:** Accessible immediately after purchase on any device
(laptop, tablet, phone).
* **High-Yield & Focused:** Eliminates fluff so you can focus strictly on tested
content and priority nursing actions.
* **Proven Results:** Written and compiled by top-performing nursing graduates to
ensure Level 3 mastery performance.
*Instant Download | 100% Verified Answers | 2026 NGN Edition*
Part 1: Questions 1 to 50 (NGN Case Studies & High-Yield Items)
NGN Case Study 1 (Questions 1–6): Adult Respiratory Failure & Acid-Base
Patient Scenario:
A 68-year-old male with a history of severe COPD presents to the Emergency Department
with acute dyspnea, confusion, and a productive cough with thick green sputum.
Vital Signs: BP 148/88 mmHg, HR 112/min, RR 28/min, Temp 38.4°C (101.1°F),
$SpO_2$ 84% on room air.
, ABG Results (Room Air): $pH$ 7.24, $PaCO_2$ 68 mmHg, $PaO_2$ 52 mmHg,
$HCO_3^-$ 28 mEq/L.
1. [NGN Matrix] The nurse reviews the ABG results. Which findings require immediate
action by the nurse? (Select all that apply)
A) $pH$ 7.24 ✔
B) $PaCO_2$ 68 mmHg ✔
C) $PaO_2$ 52 mmHg ✔
D) $HCO_3^-$ 28 mEq/L
E) Temperature 38.4°C
2. [NGN Drag & Drop / Multiple Choice] Based on the client's clinical presentation
and ABG values, which acid-base imbalance is the client experiencing?
A) Uncompensated metabolic acidosis
B) Partially compensated respiratory acidosis with severe hypoxemia ✔
C) Fully compensated respiratory acidosis
D) Uncompensated respiratory alkalosis
3. [NGN Multiple Choice] What is the nurse’s priority initial oxygen delivery
intervention for this client?
A) Non-rebreather mask at 15 L/min
B) Venturi mask at 28% to 35% $FiO_2$ titrated to keep $SpO_2$ between 88%
and 92% ✔
C) Simple face mask at 8 L/min
D) High-flow nasal cannula at 60 L/min with 100% $FiO_2$
NCLEX (NGN) Screenshots, Case Studies & Detailed
Rationales (Pass Guaranteed)
Pass your **ATI Adult Medical-Surgical Proctored Exam** on the first attempt with
this comprehensive **2026 Master Practice Bank Bundle**! Engineered specifically
for nursing students preparing for the ATI RN Content Mastery Series and Next-
Generation NCLEX (NGN), this document contains ** authentic practice questions,
detailed answer keys, and professor-verified rationales**.
---
### What Is Included in This Bundle?
* **Complete Form Sets (Forms A, B, and C):** Full-length practice exams covering all
core Adult Health concepts.
* **Next-Gen NCLEX (NGN) Formatting:** Matrix grid questions, trend items, drag-
and-drop, extended multiple response, and unfolding clinical judgment case studies.
* **Step-by-Step Rationales:** Detailed explanations for both correct and incorrect
answers to reinforce pathophysiology, pharmacology, and clinical judgment
principles.
,* **Verified Answer Key:** Reviewed and updated for the **2026 academic year** to
guarantee accuracy and alignment with the latest ATI testing blueprints.
---
### Key Topics & Systems Covered:
* **Cardiovascular & Hematology:** Dysrhythmias, MI, Heart Failure, Blood
Transfusion Reactions, Anticoagulant Therapy, ABG Interpretation (Compensated vs.
Uncompensated).
* **Respiratory:** Mechanical Ventilation, Tracheostomy Care, ABGs, Pneumothorax,
Thoracentesis Positioning, PE.
* **Gastrointestinal & Renal:** TURP/CBI, Endoscopy (EGD) Protocols, Peritoneal
Dialysis, Bowel Obstruction, Liver Disease/Ammonia Monitoring.
* **Neurological & Musculoskeletal:** Glasgow Coma Scale (GCS), Lumbar Puncture
Care, Traction/Skeletal Care, Compartment Syndrome, Cranial Nerves.
* **Endocrine & Immune/Oncology:** Hypocalcemia/Hyperkalemia, Neutropenic
Precautions, Chemotherapy Side Effects, Diabetes Management.
* **Perioperative Nursing & Infection Control:** Sterile Field Technique, Post-op
Complications, Surgical Drains (JP/Hemovac).
,---
### Why Choose This Study Guide?
* **Instant PDF Download:** Accessible immediately after purchase on any device
(laptop, tablet, phone).
* **High-Yield & Focused:** Eliminates fluff so you can focus strictly on tested
content and priority nursing actions.
* **Proven Results:** Written and compiled by top-performing nursing graduates to
ensure Level 3 mastery performance.
*Instant Download | 100% Verified Answers | 2026 NGN Edition*
Part 1: Questions 1 to 50 (NGN Case Studies & High-Yield Items)
NGN Case Study 1 (Questions 1–6): Adult Respiratory Failure & Acid-Base
Patient Scenario:
A 68-year-old male with a history of severe COPD presents to the Emergency Department
with acute dyspnea, confusion, and a productive cough with thick green sputum.
Vital Signs: BP 148/88 mmHg, HR 112/min, RR 28/min, Temp 38.4°C (101.1°F),
$SpO_2$ 84% on room air.
, ABG Results (Room Air): $pH$ 7.24, $PaCO_2$ 68 mmHg, $PaO_2$ 52 mmHg,
$HCO_3^-$ 28 mEq/L.
1. [NGN Matrix] The nurse reviews the ABG results. Which findings require immediate
action by the nurse? (Select all that apply)
A) $pH$ 7.24 ✔
B) $PaCO_2$ 68 mmHg ✔
C) $PaO_2$ 52 mmHg ✔
D) $HCO_3^-$ 28 mEq/L
E) Temperature 38.4°C
2. [NGN Drag & Drop / Multiple Choice] Based on the client's clinical presentation
and ABG values, which acid-base imbalance is the client experiencing?
A) Uncompensated metabolic acidosis
B) Partially compensated respiratory acidosis with severe hypoxemia ✔
C) Fully compensated respiratory acidosis
D) Uncompensated respiratory alkalosis
3. [NGN Multiple Choice] What is the nurse’s priority initial oxygen delivery
intervention for this client?
A) Non-rebreather mask at 15 L/min
B) Venturi mask at 28% to 35% $FiO_2$ titrated to keep $SpO_2$ between 88%
and 92% ✔
C) Simple face mask at 8 L/min
D) High-flow nasal cannula at 60 L/min with 100% $FiO_2$
